Individual
DR. SAMUEL SHAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1750 30TH ST, STE 1, #226, BOULDER, CO 80301
(214) 810-8592
Mailing address
1750 30TH ST, STE 1, #226, BOULDER, CO 80301
(214) 810-8592
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CHR.0007890
CO
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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